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Is this semen analysis report okay?
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Singhverma posted:
Is this Semen Analysis report Okay? Physical Examination :->

Time of specimen 14:00
Time of Examination 14:30
Duration of abstinence 4 Days
Liquefaction (at 37 D.C) 30 Min.
Volume 3.5 ml
Appearance Viscid opaque
Color Whitish
Viscosity Slight
pH 7.5

Microscopic Examination :->

Total Sperm Concentration 32.00 million/ml
Percentage Motility 30%

Grade A - 5%
Grade B - 10%
Grade C - 15%
Grade D - 70%

Agglutination - Negative longevity - 1 hour
Pus Cells - 2-3/hpf
Red Blood Cells Nil
Epithelial Cells Occ.

Morphology :->

Normal Morphology 50%
Abnormal Morphology 50%
(a) Head Defects 32%
(b) Neck & Midpiece 6%
(c) Tail Defects 12%


I am worried about Motility and Pus cells figures, what should I do.

Waiting for your reply.

Thanks & Regards,

Ashok Kumar.
Reply
 
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AmyAALC responded:
3.5 ml x 32 mil/ml = 112 million sperm so his testicular output looks great, normal is 40 million or higher.

112 x 30% = 33.6 million total motile this is also good since normal fertility is 15 million motile or higher.

The motility grading if A = rapid and D = sluggish or immotile we would like to more sperm in the A and B categories to know what sperm is showing movement are strong swimmers. A number of things can impact motility so following a sperm healthy lifestyle is very important. No heat to the testicles, no hot tubs, hot bathes etc, no smoking or other drug use, alcohol only in moderation = no more than 2 drinks a day, check side effects for any medications currently taking, check is any chemical exposures, eat a healthy well balanced diet.

Since count is high this offsets the motility being a little low. Normal motility is considered 40% or higher. I would read over my sperm healthy lifestyle guidelines to make sure there isn't doing something day to day that can lower motility. I also recommend starting on a fertility blended vitamin such as FertilAid for Men and their Motility Booster.

Morphology or normal forms at 50% looks good. Not sure what test they used but with a Kruger Strict 4% or high is acceptable and other methods classify 14% and 30% normal as acceptable so 50% is well above all those different types of testing.

The vitamins can help improve that motility and morphology so it might be the edge needed for a successful conception. Overall numbers look great. How long have you been trying to get pregnant?

Was any lubricant used in the collection process? Lubricant can decrease motility.

It is always a good idea to test another sample in 1-2 months since it is hard to base full fertility off 1 sample alone.

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
 
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Singhverma replied to AmyAALC's response:
Thank you so much for reply and suggestions.

I am trying to get pregnant from one year.
The sample was taken in a sterlized plastic container.
should I test second semen sample.

Reagrds,
Ashok
 
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AmyAALC replied to Singhverma's response:
Yes to that 2nd sample in 1 month. You might be shocked how different a 2nd sample results can look.

Amy


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